Pathways Center For Behavioral & Developmental Growth in Lagrange - Community Based Residential Treatment Facility, Mental Illness
Pathways Center For Behavioral & Developmental Growth - NPI 1114080488
Pathways Center For Behavioral & Developmental Growth is a Community Based Residential Treatment Facility, Mental Illness in Lagrange, Georgia. Pathways Center For Behavioral & Developmental Growth practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Pathways Center For Behavioral & Developmental Growth is 1114080488. The last update date is 2020-08-22.
Pathways Center For Behavioral & Developmental Growth's current location address is 115 Mitchell Ave Apt 7, Lagrange, Georgia. You can contact this provider via phone number 7068454148 and fax number 7068454149. The mailing address for Pathways Center For Behavioral & Developmental Growth is 115 Mitchell Ave Apt 7, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pathways Center For Behavioral & Developmental Growth |
|---|---|
| Address | 115 Mitchell Ave Apt 7, Lagrange, Georgia |
| Phone Number | 7068454148 |
| Fax Number | 7068454149 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Turner K Joan |
| Credentials | RN |
| Telephone Number | 7068454045 |
NPI Number Detail
| NPI Number | 1114080488 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 115 Mitchell Ave Apt 7 |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302402257 |
| Phone Number | 7068454148 |
| Fax Number | 7068454149 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the Pathways Center For Behavioral & Developmental Growth's 1114080488?
The Pathways Center For Behavioral & Developmental Growth's NPI (National Provider Identifier) Number is 1114080488. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pathways Center For Behavioral & Developmental Growth?
The Pathways Center For Behavioral & Developmental Growth is physically situated at 115 Mitchell Ave Apt 7, in the city of Lagrange, state of GA, with the postal code 302402257.
What is Pathways Center For Behavioral & Developmental Growth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pathways Center For Behavioral & Developmental Growth's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
When did the Pathways Center For Behavioral & Developmental Growth receive its 1114080488?
The Pathways Center For Behavioral & Developmental Growth was issued its 1114080488 on 2006-12-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Pathways Center For Behavioral & Developmental Growth last refreshed?
The information related to the Pathways Center For Behavioral & Developmental Growth, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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